Individual provider Active NPI

Olivia Pagano, NP

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1396472155
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021756 Issued in CA
Practice address
15211 Vanowen St Ste 201
Van Nuys, CA 91405-3627
Phone
(818) 574-3798
Fax
(844) 809-9305
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021756 CA Primary

Addresses

Primary practice location

15211 Vanowen St Ste 201
Van Nuys, CA 91405-3627

Mailing address

541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 794-1403

Other practice location 1

222 W Eulalia St Ste 100C
Glendale, CA 91204-2850
Phone (818) 553-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205003601 TX Practitioner - Nurse Practitioner 3274909809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4101 James Casey St
Suite 100
Austin, TX 78745-1145
Phone (512) 447-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021756CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Jan 13, 2025 Accepting new patients
Texas Oncology PA CurrentSince Jan 13, 2025 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1308 Wonder World Dr
San Marcos, TX 78666
Phone (512) 396-5199

Interoperability endpoints

  • Direct secure messaging: olivia.pagano@txo.ikm.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1396472155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043640",
            "telephone_number": "323-794-1403",
            "fax_number": "323-488-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053627",
            "telephone_number": "818-574-3798",
            "fax_number": "844-809-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Eulalia St Ste 100C",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042850",
            "country_code": "US",
            "telephone_number": "818-553-8160",
            "fax_number": "818-553-8152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "OLIVIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.